The Dutch Expertise Center Personality Disorders (ECPD) initiated the development and implementation of a Guideline Integrated Treatment (GIT-PD) for patients with personality disorders (Kaasenbrood, 2015). In this symposium we will outline GIT-PD and its development, how it can be implemented and how its quality can be warranted.
Submission type
Symposium
Scheduled
Parallel Session V: Verwey kamer, 09-06-2018, 09:00 - 10:30
Kernwoorden
Personality disorders
Integrated psychotherapeutic treatment
Onderzoeksgebied
Personality disorders
Beknopte samenvatting van de totale bijdrage
The Dutch Expertise Center Personality Disorders (ECPD) initiated the development and implementation of a Guideline Integrated Treatment (GIT-PD) for patients with personality disorders (Kaasenbrood, 2015). In this symposium we will outline GIT-PD and its development, how it can be implemented and how its quality can be warranted.
Auteurs
Outline of GIT-PD: background, rationale, general framework
Willemsen, EMC (Ellen)
Abstract ID
1024
Submission type
Oral only
Introductie
Although evidence based psychotherapies for personality disorders are effective, many patients do not have access to those specialized psychotherapies. Reasons are complexity of therapy protocols, excessive training needed for professionals leading to limited availability, as well as several patient related factors. Thus many personality disorder patients get ‘treatment as usual’ (TAU) which is variable in quality. To improve quality of TAU for personality disorders, Guideline Integrated Treatment (GIT-PD) was developed. In this presentation background, rationale and general framework of GIT-PD will be outlined.
Materiaal en methodes
In the Netherlands, the Expertise Center Personality Disorders (ECPD) initiated the development of GIT-PD for personality disorders. GIT-PD contains general principles for treating personality disorders, basic attitudes for clinicians working with those patients, and general and specificintegrated treatment strategies
Resultaten
A Dutch manual for GIT-PD is available. A training program for healthcare professionals has been developed, including educational materials and a ‘train the trainer’ course. Twelve institutions for Mental Healthcare started implementing GIT-PD
Conclusie
GIT-PD provides a useful treatment framework for patients with personality disorders. Feasibility in daily practice is good, thus creating an opportunity to improve personality disorder treatment in a broad range of Mental Healthcare settings.
Auteurs
Case illustrations: website, educational movies and training program made by the Dutch Expertise Center Personality Disorders (ECPD)
Koch, M. (Miep)
Abstract ID
1279
Submission type
Oral only
Introductie
To ensure a successful implementation of the GIT-PD it’s necessary to provide the connected institutions for mental health care with educational material and a training program that is easily accessible and suitable. The ECPD provides not only a manual and a training program but also creates a platform on their website with all the material and information.
Materiaal en methodes
The manual explains the general principles for treatment, basic attitudes for clinicians and specific treatment strategies. A training program was developed according the train the trainer principle. Educational movies are made around key themes like basic attitude, discussing diagnosis, repairing ruptures in the therapeutic alliance, team consultation etc. For the collaborating institutions the material is available via the website.
Resultaten
The manual is available and the training program has been successfully executed. New educational movies are periodically added. Professionals experience the training program, the educational movies, and the content of the website as very helpful. In regular meetings representatives of the institutions work together further development of the educational material.
Conclusie
Good educational material and a training program is not only essential for a successful implementation but is also very inspiring for professionals to contribute on the improvement of personality disorder treatment.
Auteurs
Implementation of GIT-PD: insights into the process of implementing GIT-PD as a framework, with flexibility in operationalizations to meet local needs.
Soleman, M. (Marlies)
Abstract ID
1280
Submission type
Oral only
Introductie
In this presentation the focus will be on how to implement the GIT-PD program in an existing mental health department.
We will be discussing the general procedures, the pitfalls, examples from the daily-based practice and specific outcomes (different institutions have shaped the model in their own way).
Materiaal en methodes
Implementation GIT-PD in the Netherlands started with a central organized training course (“train the trainer”), organized by The Expertise Centre of Personality Disorders, which was visited by mental health practitioners from different mental heath institutions. After the training, the trained practitioners started to coach their colleagues in their institution. Every institution then worked out the process in their own way, but there are some clear main features..
Resultaten
At the moment there are a few institutions which have implemented GIT-PD at an advanced stage. They all started with the same course but shaped the framework into their own. We get positive signs from practitioners as well as patients, which will, of course, be objectivized
Conclusie
Implementation of a new mental health care program for personality disorders knows a few main features, but can also be adapted to the specific needs and qualifications of the mental health organization that is implementing it.
Auteurs
Follow-up after implementation: ongoing training, possible problems and solutions, monitoring and maintainance of quality of care
Aalders, H.C.W.M (Helga)
Abstract ID
1281
Submission type
Oral only
Introductie
In this presentation the focus will be on how to organize and manage the follow up after implementation. In 12 institutions of mental health care there is an ongoing process of implementation of GIT-PD. The way GIT-PD is implemented differs from institution to institution and is tailored to locale circumstances. It is quite a challenge to monitor and maintenance the quality of care. The way we solved issues and covered promoting GIT-PD will be discussed
Materiaal en methodes
To monitor and maintain the quality of care and the ongoing process of further development of GIT-PD we are focused on three important aspects: building and maintain a GIT-PD community, organize ongoing training and facilitate reciprocal audits to learn from each other and to improve standards of care
Resultaten
The Expertise Centre Personality Disorders have founded a GIT-PD community with regular meetings. Every year they organize, based on one or two new topics, train the trainer courses. The audit manual is developed and the audits are running. First results will be presented.
Conclusie
Follow-up after implementation is important en necessary to anchoring a new method of working in teams and maintain the quality of care.
Auteurs
